Echo planar imaging (EPI) is an ultrafast magnetic resonance (MR) imag
ing method first proposed more than 15 years ago. With EPI, all the in
formation necessary to create an image is obtained very rapidly (typic
ally on the order of 50-150 ms). Special hardware modifications are, n
eeded, particularly in the magnetic field gradients and data acquisiti
on systems, to permit such high-speed imaging. In the abdomen, EPI ima
ges are insensitive to degradation from breathing or peristaltic motio
n. The essentially infinite repetition time and lack of motion-induced
blurring can improve lesion characterization compared with standard i
maging methods. Segmented EPI permits high-resolution T2-weighted imag
es to be acquired within a single breath-hold. Diffusion imaging, whic
h was previously restricted to the brain, can now be done in the abdom
en because of the relative insensitivity of EPI images to bulk motion.
Diffusion imaging of the kidney has been found to correlate with its
functional status. By using EPI readouts, MR angiography can be done m
ore quickly. Further work is needed to improve the spatial resolution
and overcome magnetic susceptibility artifacts, particularly with sing
le-shot EPI. Nonetheless, EPI offers considerable potential for improv
ed anatomical and functional imaging of the abdomen.